Important: The following data is for information purposes only. Please note that access to VAC drug benefits will vary depending upon an individual's eligibility and specific health needs. More Details
This information was posted August 29, 2012. Additions or revisions to the Formulary may have subsequently occurred.
Displaying 17161 - 17170 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02403943 | NEUPRO 8MG/PATCH | This is not a Standard Benefit. Special Authorization is required. |
| 02403986 | ACT OLOPATADINE OPHTHALMIC SOL'N 0.1% | Standard Benefit for Eligible Clients |
| 02404001 | IRBESARTAN / HYDROCHLOROTHIAZIDE TAB 150MG/12.5MG | Standard Benefit for Eligible Clients |
| 02404028 | IRBESARTAN / HYDROCHLOROTHIAZIDE TAB 300MG/12.5MG | Standard Benefit for Eligible Clients |
| 02404036 | IRBESARTAN / HYDROCHLOROTHIAZIDE TAB 300MG/25MG | Standard Benefit for Eligible Clients |
| 02404052 | BL LATANOPROST OPH LIQ 50MCG/ML | Standard Benefit for Eligible Clients |
| 02404095 | ACT OLOPATADINE SOL 0.2% OPHTHALMIC | Standard Benefit for Eligible Clients |
| 02404133 | RIVA-PREGABALIN CAP 225MG | Standard Benefit for Eligible Clients |
| 02404184 | MYLAN-TOLTERODINE ER CAP 2MG | Standard Benefit for Eligible Clients |
| 02404192 | MYLAN-TOLTERODINE ER CAP 4MG | Standard Benefit for Eligible Clients |
Displaying 17161 - 17170 of 24215